Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.29 / $117.78 / $175.04	Facility	26	$87.29	$117.78	$175.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.20 / $288.97 / $345.28	Professional		$225.20	$288.97	$345.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $94.44 / $118.52	Professional	26	$62.17	$94.44	$118.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.04 / $214.20 / $277.86	Professional	TC	$149.04	$214.20	$277.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $160.63 / $160.63	Professional		$160.63	$160.63	$160.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.50 / $56.50 / $81.20	Professional	26	$56.50	$56.50	$81.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $413.00 / $413.00	Professional		$413.00	$413.00	$413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.49 / $360.94 / $594.00	Professional		$185.49	$360.94	$594.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.12 / $100.85 / $132.21	Professional	26	$59.12	$100.85	$132.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.04 / $244.77 / $475.00	Professional	TC	$135.04	$244.77	$475.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $553.91 / $714.16 / $714.16	Facility	26	$553.91	$714.16	$714.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.32 / $400.00 / $2,036.01	Professional		$257.32	$400.00	$2,036.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.64 / $102.77 / $484.69	Professional	26	$65.64	$102.77	$484.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.30 / $302.50 / $2,005.00	Professional	TC	$169.30	$302.50	$2,005.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.66 / $368.14 / $478.98	Professional		$248.66	$368.14	$478.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.64 / $91.44 / $142.62	Professional	26	$65.64	$91.44	$142.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.29 / $247.93 / $334.35	Professional	TC	$165.29	$247.93	$334.35